Healthcare Provider Details

I. General information

NPI: 1235186628
Provider Name (Legal Business Name): JUNAID I. QURESHI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2006
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4540 E BASELINE RD BLDG 6
MESA AZ
85206-4613
US

IV. Provider business mailing address

3815 E BELL RD STE 4500
PHOENIX AZ
85032
US

V. Phone/Fax

Practice location:
  • Phone: 602-633-6060
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number33986
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number33986
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number33986
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: